EP0528468A1 - Verwendung von Triclosan zur Herstellung eines Arzneimittels zur Inhibierung der Cyclooxygenase - Google Patents

Verwendung von Triclosan zur Herstellung eines Arzneimittels zur Inhibierung der Cyclooxygenase Download PDF

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Publication number
EP0528468A1
EP0528468A1 EP92202287A EP92202287A EP0528468A1 EP 0528468 A1 EP0528468 A1 EP 0528468A1 EP 92202287 A EP92202287 A EP 92202287A EP 92202287 A EP92202287 A EP 92202287A EP 0528468 A1 EP0528468 A1 EP 0528468A1
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EP
European Patent Office
Prior art keywords
triclosan
medicament
cyclo
manufacture
oxygenase
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
EP92202287A
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English (en)
French (fr)
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EP0528468B1 (de
Inventor
Franciscus J. Unilever Research Van Der Ouderaa
Diane Unilever Research Cummins
Derek Michael C. Unilever Research Hull
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Unilever PLC
Unilever NV
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Unilever PLC
Unilever NV
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Publication date
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Publication of EP0528468A1 publication Critical patent/EP0528468A1/de
Application granted granted Critical
Publication of EP0528468B1 publication Critical patent/EP0528468B1/de
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61QSPECIFIC USE OF COSMETICS OR SIMILAR TOILETRY PREPARATIONS
    • A61Q11/00Preparations for care of the teeth, of the oral cavity or of dentures; Dentifrices, e.g. toothpastes; Mouth rinses
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/075Ethers or acetals
    • A61K31/085Ethers or acetals having an ether linkage to aromatic ring nuclear carbon
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/185Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • A61K31/19Carboxylic acids, e.g. valproic acid
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K8/00Cosmetics or similar toiletry preparations
    • A61K8/18Cosmetics or similar toiletry preparations characterised by the composition
    • A61K8/19Cosmetics or similar toiletry preparations characterised by the composition containing inorganic ingredients
    • A61K8/27Zinc; Compounds thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K8/00Cosmetics or similar toiletry preparations
    • A61K8/18Cosmetics or similar toiletry preparations characterised by the composition
    • A61K8/30Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds
    • A61K8/33Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds containing oxygen
    • A61K8/34Alcohols
    • A61K8/347Phenols
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K8/00Cosmetics or similar toiletry preparations
    • A61K8/18Cosmetics or similar toiletry preparations characterised by the composition
    • A61K8/30Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds
    • A61K8/33Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds containing oxygen
    • A61K8/36Carboxylic acids; Salts or anhydrides thereof
    • A61K8/365Hydroxycarboxylic acids; Ketocarboxylic acids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/02Stomatological preparations, e.g. drugs for caries, aphtae, periodontitis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P29/00Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/04Antibacterial agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K2800/00Properties of cosmetic compositions or active ingredients thereof or formulation aids used therein and process related aspects
    • A61K2800/74Biological properties of particular ingredients
    • A61K2800/78Enzyme modulators, e.g. Enzyme agonists
    • A61K2800/782Enzyme inhibitors; Enzyme antagonists

Definitions

  • Periodontitis is a general term describing specific diseases affecting the gingiva and the supporting connective tissue and alveolar bone which anchor the teeth in the jaws. Periodontitis causes loss of connective tissue, resorption of alveolar bone and formation of periodontal pockets, and may lead to a loosening of the teeth, and ultimately to the loss of teeth.
  • Periodontal disease is mainly caused by specific anaerobic bacteria in the periodontal pockets.
  • the destruction of the periodontal tissue is primarily caused by the indirect effects mediated by the host's reaction to the bacteria.
  • Bacterial metabolites induce leucocyte chemotaxis which results in the inflammatory cells accumulating at the site of the bacterial challenge.
  • bacterial metabolites induce the production of inflammatory mediators by leucocytic cells, in particular monocytes.
  • local disease mediators such as metabolites of arachidonic acid, e.g. leukotrienes, prostaglandins and thromboxanes.
  • the loss of alveolar bone may be directly induced by pathogenic metabolites of bacteria, in particular proteolyte enzymes.
  • Prostaglandins have been found to be particularly important in the metabolism and destruction of tissue and alveolar bone. Indeed, the production of prostaglandins in the periodontal tissues has been found to be an important mediator of the loss of alveolar bone in the periodontium; patients with periodontal breakdown show an elevated prostaglandin E2 level both in the gingival tissue as well as in the crevicular fluid.
  • Prostaglandins and thromboxanes are formed from arachidonic acid by an enzyme cascade, the first step of which is the cyclo-oxygenation by an enzyme called cyclo-oxygenase.
  • cyclo-oxygenase inhibitors particularly non steroidal anti-inflammatory drugs such as indomethacin and flurbiprofen have been found to markedly reduce the resorption of alveolar bone.
  • Triclosan has a considerable anti-cyclo-oxygenase activity, thus significantly inhibiting the formation of prostaglandins. Inhibiting the biosynthesis of the prostaglandins locally would thereby significantly inhibit or prevent alveolar bone resorption. Triclosan has been shown to be retained by gingival tissue both in vitro and in vivo following topical application.
  • non steroidal anti-inflammatory agent can be selected from various classes of such agents, including indomethacin, ibuprofen, diclofenac and so on.
  • the present invention relates to the use of Triclosan in the manufacture of a medicament for inhibiting prostaglandin-forming cyclo-oxygenase activity. More particularly, it relates to the use of Triclosan in the manufacture of a medicament for preventing or inhibiting alveolar bone resorption. It relates especially to the use of Triclosan as prostaglandin-forming cyclo-oxygenase inhibitor in the manufacture of a medicament for preventing or reducing periodontitis.
  • Triclosan is a well-known anti-bacterial agent, used i.a. in oral compositions to reduce or inhibit the growth of dental plaque. Its use to inhibit cyclo-oxygenase activity to prevent or inhibit alveolar bone resorption or periodontitis has not been indicated in the prior art as far as we know.
  • Triclosan also has anti-bacterial activity, it not only modulates the host response system by inhibiting cyclo-oxygenase activity, but also reduces the microbial challenge, thus having a highly desirable combined, dual effect to prevent or reduce periodontitis.
  • the Triclosan-containing medicament of the present invention can be manufactured in any form, suitable for administering the medicament to achieve the reduction or prevention of periodontitis.
  • Such forms are tablets, capsules, pills, powders, granules, solutions, suspensions, salves, gels, pastes etc.
  • Suitable forms for oral administration are toothpastes, mouthwashes, gels and the like.
  • the amount of Triclosan used in the present invention may vary from 0.0001 - 5, preferably 1% by weight of the medicament.
  • the Triclosan is preferably used in an amount above its MIC-values for certain micro organisms occurring in the pockets, known to contribute to periodontitis such as strains from the genera Actinomyces, Bacteroides, Peptococcus, Peptostreptococeus, Veillonella, Actinobacillus, Eubacteria, Fusobacteria and Liptotrichia, e.g. Bacteroides gingivalis, B. intermedius, Actinobacillus actinomycetemcomitans.
  • the MIC-value of Triclosan for the latter is 0.0005%, and for all the other species between 0.001 and 0.005%.
  • the medicament furthermore may comprise further, conventional ingredients, such as pharmaceutically acceptable carriers like starch, sucrose, polyols, surfactants, water or water/alcohol systems etc.
  • pharmaceutically acceptable carriers like starch, sucrose, polyols, surfactants, water or water/alcohol systems etc.
  • such formulation may contain all the usual dentifrice ingredients.
  • they may comprise particulate abrasive materials such as silicas, aluminas, calcium carbonates, dicalciumphosphates, hydroxyapatites, trimetaphosphates, insoluble hexametaphosphates and so on, usually in amounts between 5 and 60% by weight.
  • humectants such as glycerol, sorbitol, propyleneglycol, lactitol and so on.
  • Surface-active agents may also be included such as anionic, nonionic, amphoteric and zwitterionic synthetic detergents. Examples thereof are sodiumlaurylsulphate, sodium dodecylbenzenesulphonate, sodium mono- and dioctylphosphate, sodiumlauroylsarcosinate.
  • Binders and thickeners such as sodium carboxymethylcellulose, xanthan gum, gum arabic etc. may also be included, as well as synthetic polymers such as polyacrylates, copolymers of polyvinylmethylether with maleic anhydride.
  • Flavours such as peppermint and spearmint oils may also be included, as well as preservatives, opacifying agents, colouring agents, pH-adjusting agents, sweetening agents and so on.
  • anti-bacterial agents such as chlorhexidine, copper-, zinc- and stannous salts, sanguinarine extract, metronidazole; furthermore anti-inflammatory agents such as ibuprofen, flurbiprofen, aspirin, indomethacin etc. may also be included.
  • anti-bacterial agents such as chlorhexidine, copper-, zinc- and stannous salts, sanguinarine extract, metronidazole; furthermore anti-inflammatory agents such as ibuprofen, flurbiprofen, aspirin, indomethacin etc.
  • the amount of zinc salt used may vary from 0.05 to about 10 % by weight, calculated as zinc ion.
  • Anti-caries agents such as sodium- and stannous fluoride, aminefluorides, monosodiumfluorophosphate, casein and casein digests may also be included.
  • Vitamins such as Vitamin C, plant extracts, potassium salts such as potassium citrate and potassium nitrate can also be included.
  • additional anti-bacterial agents are quaternary ammonium compounds such as cetylpyridinium chloride; bis-guanides such as chlorhexidine digluconate, hexetidine, octenidine, alexidine.
  • anti-plaque agents include enzymes such as dextranase and/or mutanase, amyloglucosidase, glucoseoxidase with lactic oxidase, neuro amidases, hydrogenperoxide generating compounds such as potassiumperoxydiphosphate.
  • enzymes such as dextranase and/or mutanase, amyloglucosidase, glucoseoxidase with lactic oxidase, neuro amidases, hydrogenperoxide generating compounds such as potassiumperoxydiphosphate.
  • I50 value is the concentration of inhibitor which gives 50% inhibition of cyclo-oxygenase activity.
  • the cyclo-oxygenase activity was measured at 25°C by monitoring the oxygen consumption as a result of cyclo-oxygenation of the substrate using a Clark oxygen electrode.
  • the cyclo-oxygenase activity of the sample was calculated from the oxygen consumption curve assuming that maximum deflection of the recorder corresponds to 0.26 mM dissolved oxygen in the buffer and that 2 moles of oxygen are consumed per mole of substrate.
  • the linear part of the sigmoid curve of oxygen consumption was used for initial-rate calculations.
  • the experiments were standardised by measuring the activity of the enzyme stock solution before and after each set of kinetic experiments and normalizing results to the mean activity.
  • Neonatal mouse calvaria were isolated with minimum trauma and maintained in a nutrient medium appropriate for cell culture (DMEM + 15 % horse serum) at 270C in 100 % humidity, the medium also containing the materials under test. The pH was maintained in an atmosphere of 5 % CO2. After 24h the medium was discarded, the calvaria were divided into control and test groups, and the medium was replaced with fresh medium containing the materials under test.
  • Prostaglandin E2 PGE2, 10 ⁇ 6M
  • Example 2 The test method of Example 2 was repeated, using thrombin, however, as bone loss stimulator, and using indomethacin as a cyclo-oxygenase inhibitor as control.
  • Example 3 The procedure of Example 3 was repeated, also using zinc citrate as addition.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
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  • Oral & Maxillofacial Surgery (AREA)
  • Pain & Pain Management (AREA)
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  • Diabetes (AREA)
  • Rheumatology (AREA)
  • Oncology (AREA)
  • Communicable Diseases (AREA)
  • Obesity (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
  • Cosmetics (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
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  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
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EP92202287A 1991-08-08 1992-07-24 Verwendung von Triclosan zur Herstellung eines Arzneimittels zur Inhibierung der Cyclooxygenase Expired - Lifetime EP0528468B1 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
GB919117140A GB9117140D0 (en) 1991-08-08 1991-08-08 Treatment of periodontitis
GB9117140 1991-08-08

Publications (2)

Publication Number Publication Date
EP0528468A1 true EP0528468A1 (de) 1993-02-24
EP0528468B1 EP0528468B1 (de) 1996-03-20

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EP92202287A Expired - Lifetime EP0528468B1 (de) 1991-08-08 1992-07-24 Verwendung von Triclosan zur Herstellung eines Arzneimittels zur Inhibierung der Cyclooxygenase

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US (1) US5240696A (de)
EP (1) EP0528468B1 (de)
JP (1) JPH05194203A (de)
AT (1) ATE135569T1 (de)
AU (1) AU2081592A (de)
CA (1) CA2075551C (de)
DE (1) DE69209190T2 (de)
GB (1) GB9117140D0 (de)

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FR2812192B1 (fr) * 2000-07-28 2003-01-31 Oreal Utilisation d'antagonistes de recepteur des prostaglandines ep-3 comme agent cosmetique permettant d'attenuer, de diminuer ou d'arreter la chute des cheveux et des poils
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US20060134025A1 (en) * 2004-12-17 2006-06-22 Colgate-Palmolive Company Oral compositions containing extracts of Rosmarinus and related methods
EP1962778B1 (de) * 2005-12-21 2017-08-23 Colgate-Palmolive Company Verbesserte orale zusammensetzungen mit zinkcitrat
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Cited By (24)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6440395B1 (en) 1992-06-22 2002-08-27 Barry M. Libin Antiplaque mouth rinse
WO1994026258A1 (en) * 1993-05-13 1994-11-24 Unilever N.V. Oral compositions containing triclosan for the treatment of aphthous ulcers
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EP0528468B1 (de) 1996-03-20
US5240696A (en) 1993-08-31
ATE135569T1 (de) 1996-04-15
DE69209190D1 (de) 1996-04-25
CA2075551A1 (en) 1993-02-09
GB9117140D0 (en) 1991-09-25
AU2081592A (en) 1993-02-11
CA2075551C (en) 1996-05-07
JPH05194203A (ja) 1993-08-03
DE69209190T2 (de) 1996-08-08

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